Active NPI
Bernadine Janzen, LPC
- Professional Counselor
- Laredo, TX
National Provider Identifier
1083950844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 410
- Practice address
- 5802 Bob Bullock Loop Ste C1
Apt. 328C-101
Laredo, TX 78041-8813 - Phone
- (387) 761-0360
- Fax
- (888) 845-9302
- NPI assigned
- Dec 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 410 | AK | Primary |
Addresses
Primary practice location
5802 Bob Bullock Loop Ste C1
Apt. 328C-101
Laredo, TX 78041-8813
Mailing address
5802 Bob Bullock Loop Ste C1
Apt. 328C-101
Laredo, TX 78041-8813
Phone (387) 761-0360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1083950844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5802 BOB BULLOCK LOOP STE C1",
"address_2": "APT. 328C-101",
"city": "LAREDO",
"state": "TX",
"postal_code": "780418813",
"telephone_number": "387-761-0360",
"fax_number": "888-845-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 BOB BULLOCK LOOP STE C1",
"address_2": "APT. 328C-101",
"city": "LAREDO",
"state": "TX",
"postal_code": "780418813",
"telephone_number": "387-761-0360",
"fax_number": "888-845-9302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANZEN",
"first_name": "BERNADINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.